Organization
WALNUT STREET CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D KEEGAN (EXECUTIVE DIRECTOR)
(617) 776-1448
Entity
Organization
Contact information
Practice address
71 LINWOOD ST, SOMERVILLE, MA 02143-2112
(617) 776-1448
(617) 629-3568
Mailing address
300 SOMERVILLE AVE, SOMERVILLE, MA 02143-3307
(617) 776-1448
(617) 629-3568
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1317555
—
MA
Enumeration date
03/07/2007
Last updated
08/22/2020
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